A mother brings her 2-year-old child to the pediatrician’s office, voicing concerns about her toddler’s growth over the last year. According to the child’s records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 inches (6.4 cm) since the child’s last visit a year ago. How should the nurse respond to this mother’s concerns?

Ask the mother if there are other small people in her family.

Tell her that her child’s growth is less than expected and gather a nutritional history on the child.

Tell the mother that she needs to return to the pediatrician’s office in 3 months to re-weigh the child and measure his height for any changes.

Inform the mother that her toddler’s growth is within normal limits and there is nothing to be worried about.

Answer and Explanation

The Correct Answer is D

Choice A reason: Asking about family size is irrelevant, as growth norms are based on population standards, not family stature. The toddler’s 6-pound gain and 2.5-inch growth are normal for a 2-year-old, making this unhelpful and incorrect compared to reassuring based on standard growth parameters for toddlers.

Choice B reason: The child’s growth (6 pounds, 2.5 inches) is within normal limits for a 2-year-old, so stating it is less than expected is inaccurate. Gathering nutritional history is unnecessary without growth concerns, making this incorrect compared to reassuring the mother about normal development in her child.

Choice C reason: Requiring a follow-up in 3 months is unnecessary, as the toddler’s growth is normal (6 pounds, 2.5 inches in a year). Reassuring the mother addresses her concerns directly, avoiding unwarranted visits, making this incorrect for responding to a toddler with standard growth patterns.

Choice D reason: A 6-pound (2.7 kg) weight gain and 2.5-inch (6.4 cm) height increase are within normal limits for a 2-year-old, per pediatric growth charts. Reassuring the mother alleviates anxiety and aligns with evidence-based growth standards, making this the correct response to her concerns about growth.

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: Stating that older men will die without exams exaggerates the risk, as testicular cancer is rare in the elderly and treatable. Awareness at age 15 is more relevant, making this inaccurate and incorrect for indicating a successful understanding of self-exam importance in the session.

Choice B reason: Recognizing that testicular cancer can affect teens (peak incidence in young males) shows understanding of personal risk at age 15. This aligns with health education goals for testicular self-exams, making it the correct comment indicating a successful session outcome for the high school boys.

Choice C reason: Mentioning a family history is relevant but does not show understanding of the need for self-exams at a young age. Awareness of personal risk at 15 is more direct, making this less indicative and incorrect for session success in teaching testicular self-examination.

Choice D reason: Delaying self-exams to the 20s underestimates the risk in teens, where testicular cancer incidence peaks. Recognizing risk at 15 reflects better comprehension, making this incorrect, as it misaligns with the urgency of early self-exam education for the high school students.

A. “Remove all equipment related to the procedure from the child’s environment.” B. “Handle all contaminated linens in accordance with the facility policies.” C. “Assess to ensure that the side rails are up and the bed is lowered to the floor.” D. “Document the procedure and the response of the child as soon as the procedure is completed.”

Correct Answer is C

Explanation

Choice A reason: Removing equipment reduces clutter but is less urgent than preventing falls, especially post-procedure when a child may be disoriented. Ensuring side rails and a low bed prioritizes safety, making this secondary and incorrect for the most immediate action in pediatric post-procedure care.

Choice B reason: Handling contaminated linens follows infection control but is not the immediate safety concern post-procedure. Preventing falls with side rails and a low bed is critical, making this less urgent and incorrect compared to the priority of ensuring the child’s physical safety after the procedure.

Choice C reason: Assessing side rails up and bed lowered prevents falls, the most immediate safety risk post-procedure when a child may be sedated or unsteady. This aligns with pediatric safety protocols, making it the correct statement for the most urgent action in post-procedure interventions.

Choice D reason: Documentation is essential but not immediate compared to fall prevention, which protects the child post-procedure. Side rails and bed positioning take precedence, making this subsequent and incorrect for the most urgent safety action required after a pediatric procedure in the hospital.

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Naxlex Comprehensive Predictor Exams

The nurse is meeting with a group of high school boys to discuss various health topics. After the session on testicular self-exam, the nurse determines the session is successful when one of the students responds with which comment?

Correct Answer is B

Explanation

A nurse is discussing post-procedure interventions with new pediatric nurses. Which statement addresses the most immediate safety action required?

Correct Answer is C

Explanation

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? (Select all that apply)

The nursing instructor is conducting a class on the development of an infant. The instructor determines the class is successful when the students correctly illustrate which as the proximodistal development in an infant?

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant’s teeth?

In discussing the causes of iron-deficiency anemia in children with a group of nurses, the following statements are made. Which of these statements is a misconception related to iron-deficiency anemia?

A young child has been admitted with a diagnosis of enterobiasis (pinworm infection). This child will most likely have a history of:

A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?

The nurse administering the preoperative medications to the child going to surgery would anticipate which of the following related to giving preoperative medications?